Is GS-441524 (Remdesivir) oral administration as effective as injection in treating non-effusive Feline Infectious Peritonitis (FIP) in cats?

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Last updated: March 24, 2025View editorial policy

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From the Research

GS-441524 oral administration can be as effective as injection for treating non-effusive (dry) FIP in cats, with a typical oral dosage ranging from 10-15 mg/kg given once daily for at least 84 days (12 weeks) 1. The exact dose depends on disease severity and individual response. Key points to consider when treating non-effusive FIP with GS-441524 include:

  • Oral GS-441524 offers the advantage of being less stressful for both cats and owners compared to daily injections.
  • For successful treatment, consistent administration is crucial, and the full treatment course must be completed even if symptoms improve earlier.
  • Regular veterinary monitoring, including bloodwork, is recommended throughout treatment to assess response and adjust dosing if needed.
  • The medication works by inhibiting viral replication of the feline coronavirus that causes FIP.
  • While oral administration is generally effective for non-effusive FIP, cats with effusive (wet) FIP or neurological involvement may require higher doses or injectable forms for better drug distribution to affected tissues.
  • Treatment should only be discontinued after consultation with a veterinarian to ensure complete viral clearance and prevent relapse. A recent study published in 2024 found that a shorter treatment duration of 42 days with oral GS-441524 can be considered equally effective as the recommended 84-day treatment in cats with FIP with effusion 1. However, it is essential to note that the effectiveness of GS-441524 oral administration may vary depending on the specific context and individual case, and treatment decisions should be made in consultation with a veterinarian. Other studies have also investigated the use of remdesivir and GS-441524 in treating FIP, including a study published in 2023 that found a combination of remdesivir and GS-441524 to be effective in treating cats with FIP 2, 3, 4. Additionally, a study published in 2022 found that orally administered GS-441524 achieves plasma levels greater than the established EC50 values, which are sustained over 24 hours 5. Overall, the current evidence suggests that GS-441524 oral administration can be an effective treatment option for non-effusive FIP in cats, but treatment decisions should be made on a case-by-case basis in consultation with a veterinarian.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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